164例民用飞行学员角膜屈光手术裸眼远视力3年随访

中华航空航天医学杂志 Pub Date : 2014-09-15 DOI:10.3760/CMA.J.ISSN.1007-6239.2014.03.004

Yirong Wang, Huan Liu

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引用次数: 0

摘要

目的探讨角膜屈光手术对民用飞行学员裸眼远视稳定性的影响。方法收集并分析164例接受3年以上角膜屈光手术并在中国民航飞行学院体检中取得Ⅰ级体检合格证的飞行学员裸眼远视、角膜屈光手术时间及手术方法。采用统计学描述和重复测量资料方差分析方法分析3年内裸眼远视的变化情况。结果93.90%民用飞行学员角膜屈光术后第3年裸眼远视值在1.0以上。不同手术方式矫正的裸眼远视力均稳定(平均水平大于1.0)。术后3年裸眼远视力<1.0的有20只眼，术后1年裸眼远视力<1.0的有11只眼，术后1年裸眼远视力下降幅度>.1的有9只眼。结论飞行学员角膜屈光手术效果满意，术后远视力稳定。提出了更多的视觉质量指标，飞行环境对术后视觉功能的影响有待进一步研究。关键词:角膜切除术;激光;视力测试;后续研究;飞行学员

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Three-year follow-up of the naked distant vision in 164 civil flying cadets treated by corneal refractive surgery

Objective To explore the effect of corneal refractive surgery and the stability of naked distant vision in the treated civil flying cadets.Methods The naked distant vision,time and method of corneal refractive surgery in 164 flying cadets,who had received the surgery for at least 3 years and acquired Class Ⅰ medical certificate in the physical examination of Civil Aviation Flight University of China,were collected and analyzed.Statistical description and repeated measurement data analysis of variance were used to analyze the change of naked distant vision in the 3 years.Results 93.90％ civil flying cadets' naked distant vision values were above 1.0 in the 3rd year after the corneal refractive surgery.The naked distant vision that corrected by different surgical method was stable (average level was higher than 1.0).There were 20 eyes' naked distant vision ＜1.0 in the 3rd year after surgery,11 of which were ＜1.0 in the 1st year and 9 eyes' dropped amplitude ＞0.1 as compared with that in the 1st year.Conclusions The effect of corneal refractive surgery is satisfied and the treated flying cadets obtain stable distant vision.More visual quality indicators are suggested and the influence of flying environment on post-surgery visiual function should be studied in further. Key words: Keratectomy, Laser; Vision tests; Follow-up studies; flying cadets

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来源期刊

中华航空航天医学杂志航空航天医学

自引率

0.00%

发文量

2962

期刊介绍： The aim of Chinese Journal of Aerospace Medicine is to combine theory and practice, improve and popularize, actively advocate a hundred flowers bloom and a hundred schools of thought contend, advocate seeking truth from facts, promote the development of the related disciplines of aerospace medicine and human efficiency, and promote the exchange and penetration of aerospace medicine and human efficiency with other biomedical and engineering specialties. Topics of interest for Chinese Journal of Aerospace Medicine include: -The content of the journal belongs to the discipline of special medicine and military medicine, with the characteristics of multidisciplinary synthesis and cross-penetration, and mainly reflected in the aerospace industry, aerospace flight safety and efficiency, as well as the synthesis of special medicine, preventive medicine, environmental medicine, psychology, etc. -Military aeromedicine (Air Force, Navy and Army aeromedicine) and civil aeromedicine, with a balance of aerospace medicine are the strengths of the journal. -The change in aerospace medicine from a focus on promoting physiological compensatory adaptations to enhancing human performance under extreme environmental conditions is what the journal is helping to promote. -The expansion of manuscripts in high altitude medicine is also a special emphasis of the journal.